Marsh G N
Br Med J (Clin Res Ed). 1985 Sep 7;291(6496):646-8. doi: 10.1136/bmj.291.6496.646.
The conclusions from recent analyses of the clinical worth of routine antenatal attendances have been used in the setting of a modern primary health care team. As a result the number of times a low risk nulliparous woman is seen by her general practitioner has been reduced from 15 to eight and a low risk multiparous woman from 15 to six. The number of consultations with a midwife has also been considerably reduced. The time saved is used in longer, more structured consultations and for more intensive care of high risk, usually socially deprived, women. Despite these reductions in consultations organised, well recorded care of this type renders antenatal attendances at a hospital virtually unnecessary for low risk women.
近期对常规产前检查临床价值的分析结论已应用于现代初级卫生保健团队的工作中。因此,低风险初产妇看全科医生的次数从15次减至8次,低风险经产妇从15次减至6次。与助产士的会诊次数也大幅减少。节省下来的时间用于进行更长时间、更有条理的会诊,以及对高风险(通常是社会弱势群体)女性进行更深入的护理。尽管安排的会诊次数减少了,但这种组织有序、记录完善的护理使得低风险女性几乎无需到医院进行产前检查。